Medical Doctor
Aspirus Stevens Point Hospital & ClinicsThis business is NOT BBB Accredited.
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Complaint Details
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Initial Complaint
10/16/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Walk-in visit in may not billed correctly for services received. This changes my insurance benefit usage. I have proof and am working with insurance now but they say they cant change anything Aspirus has too. Think they both have wrong information as this has happened before. Paying a premium, not getting benefit because of wrong coding and paying on top of that. Have had numerous conversations with both parties and get no where. Ask to speak with someone of power but there isnt anyone that understands what Im saying. Just want it corrected and refunded. Paid $334.05. Should only be $25 for visit and cray is rendered service ordered by doctor *** is not a specialist. Was told another $93 will be added to that out of pocket total.Business response
10/21/2024
see attachedCustomer response
10/21/2024
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appearI have not heard anything from Aspirus yet however if their reply is the email of detailed eobs that my husband received then I definitely reject as these are no different then anything else Ive received since June. They are wrong my insurance asked for proof of the services being rendered to my husbands walk in visit. They will not verify . Also the insurance I believe has wrong info as the doctor is not a specialist. I will be filing against them next it seems. I am still awaiting another appeal with them as I have sent them proof of this. Would love to meet one from Aspirus and Cigna to draw this out for them.
Regards,
***** ******Business response
11/04/2024
This complaint that was addressed to ****** ******* did finally make its way to my desk. Based upon this complaint being received, the account was once again reviewed to determine that there was proper coding of charges. That review resulted in a determination that proper coding has been utilized and that the charges submitted to the payor properly reflect the services provided. There is nothing else that can be offered at this time. A review of the type mentioned involves a review of the records as well as the previous information presented to the payor.
Please let me know of any further questions that you may have. Thank you.Initial Complaint
06/26/2023
- Complaint Type:
- Billing Issues
- Status:
- Answered
I had gone into the clinic for an annual review which was quoted multiple times by mail, and email, for $220. During the annual they wanted to discuss any concerns or issues, also requested I do a pap. Couple days after (last weekend) I received an outstanding bill for $551! When I asked the clinic what changed, they charged me TWO visits, added one visit just for discussing concerns... I have asked many times through text and call to remove that charge that was both unnecessary and never told to me at any time, they refuse. I have never felt so disrespected and just can't believe how much they would charge for basically nothing.Business response
07/06/2023
Dear Ms. *********************************** you for providing awareness of concerns expressed by *********************************; specifically, billing
concerns with Aspirus, **** I have asked for a thorough review of the concerns expressed and then we
will respond directly to the consumer. Because any response or proposed resolution likely involves the
disclosure of PHI, we are not able to respond with those details to your agency.
Please know that I appreciate you bringing these concerns to our attention. With any further questions or
concerns, please feel free to contact Patient Relations at ************.
Sincerely,Business response
07/06/2023
Thank you for providing awareness of concerns expressed by *********************************; specifically, billing
concerns with Aspirus, **** I have asked for a thorough review of the concerns expressed and then we
will respond directly to the consumer. Because any response or proposed resolution likely involves the
disclosure of PHI, we are not able to respond with those details to your agency.
Please know that I appreciate you bringing these concerns to our attention. With any further questions or
concerns, please feel free to contact Patient Relations at ************.Initial Complaint
06/27/2022
- Complaint Type:
- Billing Issues
- Status:
- Answered
*Date of Service 05/09/2022 *$274.00 charge for office visit with *******************************, M.D.*This service was for a screening mammogram only - no provider visit performed for this *I am being charged an office visit with a provider *******************************, M.D. that I have no knowledge of and did not see. On the same day, I had a lab appointment and hematology visit with ************************************* APNP. I then had a screening mammogram same day - no other provider visits done this day. .*I have contacted Aspirus customer service via MyChart and was told the coding and billing is correct based on my provider not being located at the location which I had the mammogram done at. My provider is in the Aspirus network and I should not be charged a provider office visit for a provider I did not see. This is illegal billing. My billing shows Screening Mammography Bi 2-view ********** Cad - ***** (CPT), Screening Digital Breast Tomosynthesis Bi - ***** (CPT) and OFFICE/OUTPATIENT ESTABLISHED MOD MDM ***** MIN - ***** (CPT). I was not even in the mammogram department for longer than 15 minutes. My insurance paid for the screening mammogram in full but I am being charged a deductible for the office visit.*Account #*********Customer response
06/29/2022
The location was Stevens Point Clinic ******** Ave and Stevens Point Hospital Medical Oncology. I have been attempting for over a month to get information via MyChart. I received UB04 form total charges of $1026 which corresponds to account 410544841
What I need is the claim form (UB04 or CMS1500) with total charges of $820.00 which corresponds to account ********* (Mammogram Visit at Aspirus Stevens Point Clinic - ******** Ave). Charges are for the screening mammo *****, screening digital tomo ***** and then an OFFICE/OUTPATIENT ESTABLISHED MOD MDM ***** MIN ***** (CPT) $274.00 which is what I am disputing and do not understand. Why am I being billed for 2 ****** visits for this DOS. I work with medical billing/revenue cycle and understand provider based billing.
Did the professional charges for the mammo and prof ****** visit for Whitehouse get combined on 1 claim? This seems incorrect as there are 2 different service providers.
I am trying to get to the bottom of why I have such a large ****. Again my insurance is stating that Aspirus is sending everything as outpatient hospital and this does not make sense to me, which is why I requested a copy of all claim forms. My insurance benefits state $40 copay for specialist, which is what I should be charged for the visit with ************************************* APNP. I also understand the lab charges being billed as hospital outpatient and leaving me with a deductible per my insurance benefits. Also per my benefits I should have no copay/deductible for a screen mammo including 3D imaging.Business response
06/30/2022
June 30th, 2022
Better Business Bureau of *********
*************************
10019 *****************************************.
*********,** 53214
RE:Complaint 17487178
Dear ****,
Thank you for providing awareness of concerns expressed by ***************************; specifically,billing concerns with Aspirus, **** I have asked for a thorough review of the concerns expressed and then we will respond directly to the consumer. Because any response or proposed resolution likely involves the disclosure of PHI, we are not able to respond with those details to your agency.
Please know that I appreciate you bringing these concerns to our attention. With any further questions or concerns, please feel free to contact Patient Relations at ************
Sincerely,
Patient Relations
Aspirus
Initial Complaint
06/16/2022
- Complaint Type:
- Billing Issues
- Status:
- Answered
I have no faith in medical professionals due to the service I have continued to receive from this company. I have received no financial help or understanding even though my doctor confirmed that I would not be charged. In every appointment I advise I do not have a lot of money and that I cannot afford large bills. My doctor will insist tests be run and I have had blood drawn when I denied the tests to the doctor. There is a lack of communication with the lab and the doctors. I have attempted to resolve this issue with the facility but no one ever accepts blame. I am beyond frustrated with what they consider to be care. I now have I workers comp issue denied because sexual harassment is not covered. I have been left with multiple bills. I called and spoke with someone on the phone confirming the payments I was billed are the only ones on my account. she confirmed yes. I paid almost $300 in bills and then received 4 more bills in the mail. I do not recall these dates of service nor am able to get descriptions of the visits to confirm. I now owe $620.19 after I was told that I had paid all my bills. I am struggling to just find someone in the hospital that I can talk to and that will listen to my frustrations with their lack of care. I am requesting that my current bills to be forgiven and that the hospital take a look at how bad the lack of communication is between billing, physicians, and collectors. Being able to seek medical care and being able to pay for it should all be done with the same team if the hospital will not take any responsibilty for the disorganization. account: ******Business response
06/20/2022
Please see attached response to BBB from Aspirus Stevens Point Hospital. Thank you.
Thank you for providing awareness of concerns expressed by Feclicia ****; specifically, billing concerns and communication with Aspirus, Inc. I have asked for a thorough review of the concerns expressed and then we will respond directly to the consumer. Because any response or proposed resolution likely involves the disclosure of PHI, we are not able to respond with those details to your agency.
Please know that I appreciate you bringing these concerns to our attention. With any further questions or concerns, please feel free to contact Patient Relations at 715-********.
Sincerely,
***************************
Patient Relations
********************** ********************************************************************
Initial Complaint
05/18/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Prior to appointment wife received verbal quote for therapy cost per visit @ $250 per visit which was already much higher than what we wanted to pay. We now have received **** and 2 visit total is $869.17. Not only are cost substantially higher but visits did not any value. Visits where less than 10 min which resulted in a list of stretches and exercises that could have been easily googled. Did not return after 2nd visit. We unsuccessfully challenged the cost and now they are sending us to collection agency. We will pay cost to avoid further damages but it is a pity health care providers can abuse consumers with no retribution.Business response
06/21/2022
Please see attached response to complaint ********. Thank you!Initial Complaint
04/22/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
I spoke with customer service on 3/3/3022 (Lakyn) about setting a payment plan for my account after having a baby. It had taken months for them to process with my insurance company and they said it wasnt completed yet. They said it was ok to wait for it to be processed and then call back to set a payment plan. I received a statement on 3/29/22 for $1850 and called to set a payment plan on 4/13/23 but they had already sent to collections. When I told them what happened, the customer service representative hung up on me. There is an hour long wait time to be able to speak with a representative so they are essentially preventing me from my right to transparent, and clear billing.Business response
05/23/2022
see attached
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Contact Information
Customer Complaints Summary
6 total complaints in the last 3 years.
1 complaints closed in the last 12 months.